Introduction:

   Prof. Dr. S.M. Singh is a famous academician and clinician. He is rendering his service as Director of Sri Sai Nath Post Graduate Institute of Homoeopathy, Allahabad and he guided more than 70 students. He had presented many papers in scientific seminars. The Homoeopathic Community has honoured him with many awards

   An infant aged 18 days was brought with a diagnosis of Fatal Hypoxic Ischemic Encephalopathy (HIE) Grade III with Meconium Aspiration Syndrome (MAS) with due diagnosis confirmed by modern investigations. When the child was admitted the general condition was poor, baby looked pale had marked respiratory distress with generalized hypertonia and seizures.

The male child was born by normal vaginal delivery on 6.3.08 at 7 am. There was history of MSAF (Meconium stained amniotic fluid) and delayed cry after birth. The baby was put on ventilator and treated with modern medicines. The seizures were controlled after 4th day. The baby was weaned for eighteen days and remained oxygen dependent. The child developed chest infection and breathless as a sequele of meconium aspiration.

The Plain x ray of the chest revealed right upper and lower zone opacity pneumonic consolidation on 21-3-2008 Refer Plate 1

Plate I	Plate II
Increased patch of opacity in right upper & lower zone & in left upper zone.	Decreasing patch of opacity in both upper zone lung field.

First Prescription
Rx
Vanadium 30 single dose

After 10 days, 31.3.2008, the opacity in both zones decreased.
Refer Plate II. After 30 days, 10.5.2008, Lung fields and Cardiac shadow appeared normal Refer Plate III

The child was saved from fatal complication and CT scan of the skull was advised to study the consequent effects of hypoxia. It impressed that the child is suffering from mild cerebral atrophy.

He responded miraculously to a single dose of Vanadium 30.

The child is under treatment for further evaluation and inference

Plate III	Plate IV
Both lung fields are normal. Cardiac shadow normal	Mild cerebral atrophy.

Discussion
The drug vanadium was prescribed on the basis of simple understanding that drug is oxygen carrier Dr.William Boericke described this remedy as “Its action is that of an oxygen carrier and a catalyzer, hence its use in wasting diseases, increases amount child haemoglobin, also combines its oxygen with toxins and destroys their virulence. Also increases and stimulates phagocytes. A remedy in degenerative conditions of the liver and arteries.”

Simple understanding of the drug action is very useful in circumstances where we failed to collect the totality of symptoms. The child is benefited by Vanadium, who cannot express anything. Here the prescription is neither based on constitution nor on miasmatic approach.